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A Case of Type 2 Leprosy Reaction in Borderline Lepromatous Leprosy Masquerading as Orbital Cellulitis in an Immigrant Worker
O-sung Kwon1, Hyung-Rok Kim1, Joon-soo Park1, Hyun Chung1, Hyun-Hee Kwon2, Kyung-Duck Park3
Department of Dermatology 1 , Department of Internal Medicine 2 CatholicUniversityofDaegu, SchoolofMedicine, Daegu, Korea Department of Dermatology 3 , Chungnam National University School of Medicine, Daejeon, Korea
Hansen¡¯s disease(HD) is a chronic infectious disorder acquired by inoculation of Mycobacterium leprae . With the establishment of complex multidrug therapy, the incidence rate of leprosy patients has continually shown to decline by 90% compared to the incidence rate in the 1990s. However, the prevalence of the disease still remains high in southeast asian countries. Due to the rarity and diverse nature of cutaneous presentation, HD is often misdiagnosed with other dermatoses or infectious conditions. Especially, when a patient presents with unusual presentation with leprosy reaction with no classical feature such as sensory disorders and skin lesion, the diagnosis is further delayed with misguided treatments. Herein we present a 27-year-old Indonesian immigrant who displayed clinical features mimicking that of orbital cellulitis who was later diagnosed with borderline lepromatous leprosy through histologic and PCR confirmation, in light of alerting the probability of leprosy in immigrants with intractable skin presentations.
¡Ø Key Words : Borderline leprosy, Immigrants, Leprosy reaction |
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